| NPI | 1124681135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102208077) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 02008125A) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TN 5437) | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2024-11-22 |