| NPI | 1336230432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A65489) |
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: CA A65489) |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: CA A65489) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2025-12-01 |