| 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 |