| NPI | 1427314111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 81363) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MI 4301103104) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301103104) | |
| 208M00000X Hospitalist (Licence: WI 81363) | |
| 208M00000X Hospitalist (Licence: NY 289121) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2023-06-27 |