| NPI | 1336295013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 43993) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 43993) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-08-19 |