NPI | 1043444797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: CA 20A18605) |
Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: TX Q0026) |
208100000X Physical Medicine & Rehabilitation (Licence: IL 036135321) | |
Enumeration Date | 2009-05-11 |
Last Update Date | 2021-02-04 |