NPI | 1447367685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 234144) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WV 2182) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2011-06-21 |