NPI | 1124473459 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0063580) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 65332) |
208M00000X Hospitalist (Licence: CO DR.0063580) | |
Enumeration Date | 2016-04-23 |
Last Update Date | 2025-05-01 |