| NPI | 1871569145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: MO R8N91) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO R8N91) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-09-19 |