| NPI | 1538188347 |
|---|---|
| Other Name | NONE NONE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G14042) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA G14042) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-09 |