| NPI | 1306998281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1170) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: ME 1170 DO) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2015-12-17 |