| NPI | 1912532375 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: IN 47-4307900)  | 
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 47-4307900)  | 
| Enumeration Date | 2020-03-06 | 
| Last Update Date | 2020-03-06 |