| NPI | 1861828568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01091463A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301111722) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2023-09-29 |