| NPI | 1336674340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 76730) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 76730) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2022-03-09 |