| NPI | 1477904035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01092486A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036156459) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2026-04-29 |