| NPI | 1962799940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01074062A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01074062A) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 01074062A) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2023-10-09 |