NPI | 1477877991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 75190) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME140297) |
208100000X Physical Medicine & Rehabilitation (Licence: IL 036-137007) | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036-137007) | |
Enumeration Date | 2010-03-26 |
Last Update Date | 2023-10-31 |