| NPI | 1841409760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: SC 29848) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 29848) |
| 208M00000X Hospitalist (Licence: SC 29848) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-11-11 |