| NPI | 1073731410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: CA A92009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A92009) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2009-08-05 |