| NPI | 1235524729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0061875) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0061875) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2025-10-29 |