NPI | 1902224538 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A167947) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A167947) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2023-08-22 |