| NPI | 1306940036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 300435) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01071513A) |
| 208100000X Physical Medicine & Rehabilitation (Licence: AK 5476) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX P5608) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-07-16 |