| NPI | 1437107984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL MD.21044) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: AL MD.21044) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-05-09 |