| NPI | 1700873148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01031534A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01031534A) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2023-01-25 |