| NPI | 1609080886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35C.002417) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: OR MD26999) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD26999) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OR MD26999) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WA MD61074044) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 654661-1205) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2025021083) | |
| 208M00000X Hospitalist (Licence: FL ME172464) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2025-08-07 |