| NPI | 1487814000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35-124217) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY 47220) |
| 208M00000X Hospitalist (Licence: OH 35-124217) | |
| 208M00000X Hospitalist (Licence: KY 47220) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: OH 35-124217) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: KY 47220) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2023-07-25 |