NPI | 1386838324 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SD 8543) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: SD 8543) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2023-11-30 |