| NPI | 1124120829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: GA 49181) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: GA 49181) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2023-12-18 |