| NPI | 1932150869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OH 34 006125 E) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IN 02000871A) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2021-09-23 |