| NPI | 1992090500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 3078) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD H0079521) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.136295) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IN 02004510A) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2021-07-27 |