| NPI | 1508190281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01069124A) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: IN 01069124A) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 01069124A) | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2022-07-18 |