NPI | 1710995808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00020433) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD00020433) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2010-05-05 |