NPI | 1538172119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 32903) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 32903) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2008-08-26 |