| NPI | 1972586568 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01049475A) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01049475A) | 
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01049475A) | |
| 207R00000X Internal Medicine (Licence: IN 01049475A) | |
| Enumeration Date | 2005-11-28 | 
| Last Update Date | 2025-07-15 |