| NPI | 1871905687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A132494) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A132494) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2022-09-06 |