NPI | 1386829208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2008-00366) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 238535) |
Enumeration Date | 2008-01-09 |
Last Update Date | 2022-11-17 |