NPI | 1427215920 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2015-02029) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN 48832) |
208100000X Physical Medicine & Rehabilitation (Licence: HI MD-17417) | |
Enumeration Date | 2008-05-21 |
Last Update Date | 2016-03-16 |