| NPI | 1922148394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AL DO.1308) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TN 1808) |
| 207Q00000X Family Medicine (Licence: AL DO.1308) | |
| 207Q00000X Family Medicine (Licence: TN 1808) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2021-04-12 |