| NPI | 1851395487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IN IN2001185A) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IA IA01993) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2007-10-18 |