| NPI | 1053571224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01073308A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036123861) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-10-11 |