NPI | 1821481292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OH 34.012669CTR) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.012669CTR) |
Enumeration Date | 2015-03-10 |
Last Update Date | 2022-08-22 |