| NPI | 1306337837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX V4431) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 39326) |
| 207R00000X Internal Medicine (Licence: TX V4431) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OK 39326) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 39326) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX V4431) | |
| 208M00000X Hospitalist (Licence: OK 39326) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2025-06-10 |