| NPI | 1386841518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: WV 2321) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 2321) |
| 207R00000X Internal Medicine (Licence: WV 2321) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 2321) | |
| 208M00000X Hospitalist (Licence: WV 2321) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2022-04-24 |