NPI | 1457441206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NV 7091) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NV 7091) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2013-09-23 |