| NPI | 1710229109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 62970) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036141886) |
| 208M00000X Hospitalist (Licence: WI 62970) | |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2023-01-17 |