NPI | 1629464060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NC 2020-00403) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL OS15697) |
Enumeration Date | 2015-04-13 |
Last Update Date | 2020-07-01 |