NPI | 1619094034 |
---|---|
Former Name | SUJOY BASU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501007326) |
Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary (Licence: MI 5501007326) |
2251N0400X Physical Therapist, Neurology (Licence: MI 5501007326) | |
2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501007326) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2008-02-28 |