NPI | 1093584815 |
---|---|
Other Name | JOHN GREENEWALD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 1051707) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: CA 8CB9E) |
225400000X Rehabilitation Practitioner (Licence: CA 1051707) | |
Enumeration Date | 2023-12-20 |
Last Update Date | 2024-01-29 |