| NPI | 1689052839 |
|---|---|
| Former Name | ROSS D BEHYMER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-149242) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2019-08-08 |