| NPI | 1992016893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 35392) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 9407455) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2024-03-07 |