| NPI | 1508965666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NV 16879) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: AL 00025499) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: CA 816325) | |
| 208M00000X Hospitalist (Licence: NV 16879) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-10-04 |