NPI | 1831537109 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME DO2620) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME TP13121) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2022-07-21 |