| NPI | 1316928500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL DS7308) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 83788) |
| 208M00000X Hospitalist (Licence: SC 83788) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2022-11-09 |