| NPI | 1861590358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 35567) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036163297) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 57430) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IN 01083262) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CO 44994) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-02-07 |