| NPI | 1659461226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: AR E-0852) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AR E-0852) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-01-16 |