| NPI | 1437329935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0051276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 51276) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2022-07-21 |