| NPI | 1215944947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01057501A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 1768) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 35061226) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TN 53781) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-02-22 |