| NPI | 1861999773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01087630A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01087630A) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2023-06-21 |