| NPI | 1386851251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: NY 233485) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 233485) |
| 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: NJ 25MA08241100) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-05-06 |