| NPI | 1922180157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: CA A108071) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA ML20008773) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-12-13 |