NPI | 1437160843 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 150398) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 150398) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2018-10-26 |