NPI | 1164957452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME158985) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP10074771) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2022050067) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD213717) | |
208M00000X Hospitalist (Licence: FL ME158985) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-25 |
Last Update Date | 2025-06-13 |