| NPI | 1699461251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM DN20240007) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: TX M5005487) |
| 172P00000X Naprapath (Licence: NM DN20240007) | |
| 174400000X Specialist | |
| 1744R1102X Specialist Research Study | |
| 174H00000X Health Educator | |
| 225400000X Rehabilitation Practitioner (Licence: NM DN20240007) | |
| 246Z00000X Specialist/Technologist, Other | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2024-07-22 |