| NPI | 1720263239 |
|---|---|
| Former Name | MANOJ SUBBARAO WUNNAVA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 2009-00892) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2009-00892) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2009-00892) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2018-05-15 |