| NPI | 1588760011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD037864E) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: PA MD-037864-E) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD037864E) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-08-04 |