NPI | 1881621605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01048577A) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: IN 01048577A) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2011-03-02 |