| NPI | 1003850660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01085922A) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 179673) |
| 204R00000X Electrodiagnostic Medicine (Licence: IN 01085922A) | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: IN 01085922A) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 179673) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2026-05-26 |