NPI | 1558349845 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01053919A) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX M3893) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2024-01-26 |