| NPI | 1861060592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 01100049A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2022024327) |
| 207R00000X Internal Medicine (Licence: MO 2021022533) | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2026-09-15 |