NPI | 1962449801 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD456006) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01081571A) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2023-11-16 |