| NPI | 1427437789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: MO 2024006336) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2024006336) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2024-03-05 |