| 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 |