| NPI | 1508992660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: MD D0054944) |
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: CA C53624) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA C53624) | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2015-04-15 |