| NPI | 1720081920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: MD D42913) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D42913) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-03-07 |