NPI | 1972884120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2011-09-01 |
Last Update Date | 2011-09-01 |