| NPI | 1831355569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: CA A119550) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A119550) |
| 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: CA A119550) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: AZ 46236) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: OH 35.130014) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A119550) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2024-07-29 |