| NPI | 1851634364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC NotProvided) |
| Additional Taxonomies | 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: NC NotProvided) |
| 207R00000X Internal Medicine (Licence: NC NotProvided) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-07-29 |