| NPI | 1821248089 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: MT MED-PHYS-LIC-114093) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: FL 140992) |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: PR 18332) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2022-09-12 |