| NPI | 1437268489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 29006) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01060789A) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-08-01 |