| NPI | 1598064024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 02004646A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125059275) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2015-08-20 |