| NPI | 1689730608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: MD P24209) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MT186724) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-02-25 |