| NPI | 1326007949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 54946) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: WI 54946) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2021-12-06 |