| NPI | 1801355698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS21450) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 101628) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC DO210011731) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-03-12 |