| NPI | 1154556256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA 161872) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME133621) |
| 208M00000X Hospitalist (Licence: FL ME133621) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2021-08-27 |