| NPI | 1588982144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MO 2017030452) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TN 804330) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN 804330) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2018-09-24 |