| NPI | 1427284439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS015305) |
| Additional Taxonomies | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: PA os015305) |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: PA OS015305) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: PA OS015305) | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: PA os015305) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: PA OS015305) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: PA OS015305) | |
| 208D00000X General Practice (Licence: PA OS015305) | |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2023-08-29 |