| NPI | 1922504794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01097459A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.145151) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2026-03-17 |