NPI | 1033384946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: MA 240602) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 240602) |
2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: RI DO00751) | |
Enumeration Date | 2008-04-23 |
Last Update Date | 2019-12-09 |