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 |