| NPI | 1851616742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01088274A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO 0055585) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0055585) | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2023-10-19 |