| NPI | 1033220678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 01095757A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 36108054) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-06 |