NPI | 1255307633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NJ 25MA05481800) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2007-07-08 |