| NPI | 1316180672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 48243) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 48243) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2016-04-22 |