| NPI | 1316062136 |
|---|---|
| Other Name | GEORGE STEPHAN RAJ L |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MO 2004014354) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2011-10-07 |