NPI | 1144392531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 146853) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 146853) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2007-07-08 |