| NPI | 1265471379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 20919) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OK 20919) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2008-08-05 |