| NPI | 1447538384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 12897) |
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine (Licence: MN 12897) |
| 2081P0301X Physical Medicine & Rehabilitation Brain Injury Medicine (Licence: MN 12897) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2023-06-03 |