| NPI | 1487049375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX T4744) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T4744) |
| 208M00000X Hospitalist (Licence: TX T4744) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-02-19 |