NPI | 1043661770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: CO DR.0059534) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0059534) |
208100000X Physical Medicine & Rehabilitation (Licence: CO TL.0006653) | |
Enumeration Date | 2016-06-23 |
Last Update Date | 2022-07-21 |