NPI | 1851612303 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A139196) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 272802) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 53006) | |
208M00000X Hospitalist (Licence: CA A139196) | |
Enumeration Date | 2010-06-18 |
Last Update Date | 2020-03-18 |