| NPI | 1578806550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 02007541A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS019363) |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: PA OS019363) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: OH 34.013561) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2024-02-12 |