| NPI | 1295778157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: CO 49644) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO 49644) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 49644) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CO 49644) | |
| 207K00000X Allergy & Immunology (Licence: CO 49644) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 49644) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CO 49644) | |
| 202D00000X Integrative Medicine (Licence: CO 49644) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CO 49644) | |
| 208200000X Plastic Surgery (Licence: CO 49644) | |
| 2083T0002X Preventive Medicine, Medical Toxicology (Licence: CO 49644) | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: CO 49644) | |
| 2084S0010X Psychiatry & Neurology, Sports Medicine (Licence: CO 49644) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO 49644) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-09-16 |