NPI | 1508966441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ME MD13225) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ME 013225) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2013-01-11 |