| NPI | 1811332380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: SC 61232) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 61232) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-06-07 |