| NPI | 1215910047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME88699) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME88699) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2024-03-04 |