| NPI | 1538233069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: IN 01023871A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01023871A) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-08-18 |