| NPI | 1730277732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 13220) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 13220) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-04-10 |