NPI | 1649246760 |
---|---|
Former Name | CHETAN MALIK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA09574100) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 258156) |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 258156) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 258156) | |
Enumeration Date | 2006-02-28 |
Last Update Date | 2020-06-22 |