| NPI | 1235578931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01099444A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 080036) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NC 2017-00635) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: GA 080036) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2026-03-17 |