NPI | 1114944907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NC 9901001) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IA 02184) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2023-03-07 |