NPI | 1134100209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: CA A92157) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A92157) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2025-04-24 |