NPI | 1417915596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01094928A) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL 00023044) |
208100000X Physical Medicine & Rehabilitation (Licence: LA 311032) | |
Enumeration Date | 2006-05-01 |
Last Update Date | 2025-05-19 |