| NPI | 1912294661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01088276A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-38273) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.167047) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2023-11-16 |