| NPI | 1730176207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G23813) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA G23813) |
| 208M00000X Hospitalist (Licence: CA G23813) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2019-11-05 |