| NPI | 1891750501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01027891) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01027891) |
| 207L00000X Anesthesiology (Licence: IN 01027891A) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-11-23 |