| NPI | 1174660278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P5074) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-41502) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD184424) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME103112) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 56538) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD T4928) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 69811) | |
| 208M00000X Hospitalist (Licence: FL ME103112) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-11-12 |