| NPI | 1033181029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine (Licence: PR 12940) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PR 12940) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2017-03-26 |