| NPI | 1265843437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A155009) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A155009) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2021-11-03 |