| NPI | 1770656332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01035762A) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01035762) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-11-07 |