NPI | 1922272384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2013031945) |
Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: MO 2013031945) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2013-11-08 |