| 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 | 2023-12-18 |