NPI | 1700908738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 4443) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AZ 5015) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2024-02-27 |