| NPI | 1558489385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: OK 3538) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OK 3538) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2025-04-09 |