| 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 |