| NPI | 1972165793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS 04-47079) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 04-47079) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2024-10-11 |