| NPI | 1508974569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 246363) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 246363) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-10-17 |