| NPI | 1427058205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME56612) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME56612) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX N9706) | |
| 202C00000X Independent Medical Examiner (Licence: FL ME56612) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: FL ME56612) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX N9706) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2022-12-20 |