| NPI | 1538515465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME143471) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2021026151) |
| 208M00000X Hospitalist (Licence: FL ME143471) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 99872) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 21611) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R75879) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI EMC0001112) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 54772) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD476121) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2025-06-13 |