NPI | 1073615209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: NE 687) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NE 687) |
2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: IA 4020) | |
2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: WI 71820-21) | |
2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: KS 05-42170) | |
2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: IL 036-158166) | |
Enumeration Date | 2006-09-01 |
Last Update Date | 2023-03-09 |