| NPI | 1184637761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 21498) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 21498) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-03-21 |