| NPI | 1114421336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01095840A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 318288) |
| 208M00000X Hospitalist (Licence: TX U8829) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-05-12 |