NPI | 1063779213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME150107) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD184313) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2021042453) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 92528) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T5282) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD475163) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 21515) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD184313) | |
208M00000X Hospitalist (Licence: FL ME150107) | |
Enumeration Date | 2012-04-12 |
Last Update Date | 2025-06-16 |