| NPI | 1477829299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME128159) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME128159) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2025-04-15 |