NPI | 1336645159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102207341) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS022671) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-02 |
Last Update Date | 2023-09-26 |