| NPI | 1689875668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C138319) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA C138319) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CA C138319) | |
| 208M00000X Hospitalist (Licence: CA C138319) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-04-25 |