| NPI | 1205832607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OK 3660) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 3660) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-01-31 |