| NPI | 1942326343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 95) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 95) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2025-05-13 |