NPI | 1457375438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS12483) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AR N-8253) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2022-07-30 |