| NPI | 1992808380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: TN 62740) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01076203A) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IN 01076203A) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2023-08-07 |