NPI | 1346279718 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35-082255) |
Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: OH 35-082255) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2007-07-20 |