| NPI | 1114421336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 318288) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX U8829) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-06-03 |