| NPI | 1417996695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 96 00146) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME129648) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 52038) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60784030) | |
| 208M00000X Hospitalist (Licence: UT 9626704-1205) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-10-17 |