| NPI | 1770704025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 49635) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-051456) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125-051456) | |
| 208M00000X Hospitalist (Licence: CO 49635) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-08-19 |