| NPI | 1144278037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 25MB11977300) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: IN 02003217A) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 7091) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-02-05 |