NPI | 1003923020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: CA A29629) |
Additional Taxonomies | 208800000X Urology (Licence: CA A29629) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2010-11-16 |