NPI | 1114556982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX V3069) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX V3069) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2025-09-12 |