NPI | 1043213085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 550) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NV 550) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2007-07-08 |