| NPI | 1033261557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: LA 330800) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 330800) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: LA 330800) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2022-06-14 |