NPI | 1659324234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20a5941) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ME 1820) |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MA 60425) | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: ME 1820) | |
204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MA 60425) | |
204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1820) | |
204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20a5941) | |
208100000X Physical Medicine & Rehabilitation (Licence: MA 60425) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2025-03-07 |