| NPI | 1619256534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.142388) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA R-9309) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME137743) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-42658) | |
| 208M00000X Hospitalist (Licence: FL ME137743) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2022-12-04 |