| NPI | 1891091104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 02004569A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101018612) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2023-09-05 |