| NPI | 1457555104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CO DR.0052372) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0052372) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX N8689) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-06-04 |