| NPI | 1245498195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 238821) |
| Additional Taxonomies | 2084N0600X (Licence: NY 238821) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 238821) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 238821-1) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2024-02-29 |