NPI | 1285688002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PA OS 004131L) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: PA OS-004131L) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2008-05-30 |