| NPI | 1033398300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225500000X Specialist/Technologist (Licence: IN 020228048) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: IN 020228048) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-23 |