NPI | 1194746909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NH 7866) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 7866) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2007-07-08 |