| NPI | 1033100722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C155069) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL me123774) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME123774) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 53567) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 36390) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 105085) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2024-10-02 |