NPI | 1447646005 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 70890) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 1447646005) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2019-07-22 |