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 |