| NPI | 1043259328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01040686A) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: IN 01040686A) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2014-07-17 |