| NPI | 1245541085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 073591) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL32936) |
| 208M00000X Hospitalist (Licence: GA 073591) | |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2017-10-05 |