| 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 |