NPI | 1407843162 |
---|---|
Other Name | EDWIN L CAPULONG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OH 35.084735) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.084735) |
Enumeration Date | 2005-09-28 |
Last Update Date | 2017-11-30 |