| NPI | 1639528235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01085392A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301113144) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301501690) | |
| 208600000X Surgery (Licence: SC LL39643) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-01-23 |