| NPI | 1629033188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME0022720) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: FL ME0022720) |
| 209800000X Legal Medicine (Licence: FL ME0022720) | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: FL ME0022720) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2011-10-28 |