| 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 |