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 |