| NPI | 1972590529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 01040921A) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: IN 01040921A) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2023-01-25 |