| NPI | 1508814484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: TN 26078) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 26078) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-04-09 |