| NPI | 1093762999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 020-04394A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036081549) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2015-07-09 |