| NPI | 1023026937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VI 228) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VI 228) |
| 208M00000X Hospitalist (Licence: VI 228) | |
| 208D00000X General Practice (Licence: VI 228) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |