| NPI | 1255827085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX W0700) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 7141-851) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 74189) | |
| 208M00000X Hospitalist (Licence: WI 74189) | |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2025-11-19 |