| NPI | 1255341525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MS 09475) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 09475) |
| 207R00000X Internal Medicine (Licence: MS 09475) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-04-25 |