NPI | 1164740122 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 72134) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01074949A) |
208100000X Physical Medicine & Rehabilitation (Licence: IL 036.137251) | |
Enumeration Date | 2010-05-14 |
Last Update Date | 2021-11-30 |