| NPI | 1841399714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01048320A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301059960) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-09-05 |