| NPI | 1225046808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101047558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-114545) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-114545) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: VA 0101047558) | |
| 207R00000X Internal Medicine (Licence: VA 0101047558) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2012-11-14 |