| NPI | 1447264379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: DE C2-0007135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C2-0007135) |
| 208000000X Pediatrics (Licence: DE C2-0007135) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-08-01 |