| 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 |