| NPI | 1861806481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01095864A) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IN 01095864A) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IN 01095864A) | |
| 202D00000X Integrative Medicine (Licence: IN 01095864A) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2025-07-11 |