| NPI | 1982658480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: AR E-4342) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E4342) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-08-02 |