| NPI | 1548368673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: AK 5290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 5290) |
| 208M00000X Hospitalist (Licence: AK 5290) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-12-05 |