| NPI | 1932488665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01077117A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01077117A) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2023-05-01 |