| NPI | 1487093654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME139413) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME139413) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2022-09-26 |