NPI | 1184918641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: PR 18664) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PR 18664) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2024-08-06 |