| NPI | 1215034673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 225939) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 225939-1) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-03-26 |