| NPI | 1295963791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME139152) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023039486) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 23876) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.207332) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2021-00779) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01092863A) | |
| 208M00000X Hospitalist (Licence: FL ME139152) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2024-03-25 |