NPI | 1467545137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 42282) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0042282) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2019-01-25 |