NPI | 1114346657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA 109332) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a145010) |
208M00000X Hospitalist (Licence: IL 036174946) | |
Enumeration Date | 2014-04-14 |
Last Update Date | 2025-09-16 |