NPI | 1891013272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2014-00854) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2014-00854) |
Enumeration Date | 2010-05-11 |
Last Update Date | 2024-07-15 |