| NPI | 1699909481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: TN MD49617) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 11014831A) |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: GA 73051) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2021-08-10 |