NPI | 1508158106 |
---|---|
Other Name | JOHN MA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AR E-11154) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL 34090) |
208100000X Physical Medicine & Rehabilitation (Licence: KY 48283) | |
Enumeration Date | 2011-05-14 |
Last Update Date | 2018-06-26 |