| NPI | 1063658458 |
|---|---|
| Former Name | MOHAMMAD SHAWKAT ABEDIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016463) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 006853) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2021-06-24 |