| NPI | 1003255357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2013-00906) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101262795) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2013-00906) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 71841) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2024-03-05 |