| NPI | 1700858057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01087520A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OK 19307) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2023-11-27 |