| NPI | 1528017290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 50974-021) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 50974-021) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2009-12-17 |