| NPI | 1215371380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 94683) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 02005236A) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2023-08-18 |