| NPI | 1417171737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 62172) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: GA 62172) |
| 208M00000X Hospitalist (Licence: GA 62172) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2021-05-03 |