NPI | 1023457454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL DO.1700) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX BP10050542) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2019-06-06 |