NPI | 1407970411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01063354A) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN 58416) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2025-02-03 |