| NPI | 1295778157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 49644) |
| Additional Taxonomies | 202D00000X Integrative Medicine (Licence: CO 49644) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CO 49644) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO 49644) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CO 49644) | |
| 208D00000X General Practice (Licence: CO 49644) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-02-10 |