| NPI | 1235768532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 83302-20) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 83302-20) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-10-18 |