Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 5101015262 | MI |
NPI | 1033239959 |
---|---|
Provider Name | Robert P Farhat |
First Address | Southfield, MI 48034 |
Second Address | Clinton Twp, MI 48038-3591 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 04/02/2013 |