| NPI | 1538191507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A172941) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NC 2005-01804) |
| 208M00000X Hospitalist (Licence: NC 2005-01804) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2005-01804) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-10-30 |