NPI | 1861781049 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IA MD-42652) |
Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: IA MD-42652) |
Enumeration Date | 2011-03-28 |
Last Update Date | 2017-08-24 |