| NPI | 1588870372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IN 02003209A) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IN 11012192A) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-11-02 |