| NPI | 1801978911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN IN01033377) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01033377A) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-03-31 |