| NPI | 1689705535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 01065644a) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01065644a) |
| 208100000X Physical Medicine & Rehabilitation (Licence: GA 059901) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 059901) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2010-03-11 |