| NPI | 1437682630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME175085) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME175085) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R76019) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2025-10-24 |