| 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 | 2024-02-24 |