| NPI | 1750330270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL MD10655) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 10655) |
| 208M00000X Hospitalist (Licence: AL 10655) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2017-08-10 |