NPI | 1891762415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01038621A) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01038621) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2014-12-10 |