| NPI | 1992878003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 152058) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MA 152058) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-01-15 |