| NPI | 1043865082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR AR3886) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: AR N-7808) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2020-04-11 |