NPI | 1841635422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME157513) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024035389) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD215257) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T7796) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0083674) | |
208M00000X Hospitalist (Licence: FL ME157513) | |
Enumeration Date | 2013-05-08 |
Last Update Date | 2025-06-13 |