| NPI | 1144707902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2023-00085) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101278156) |
| 208M00000X Hospitalist (Licence: NC 2023-00085) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2025-08-04 |