| NPI | 1033397732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA11701600) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MA 244366) |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: FL ME144866) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 246889) | |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2023-06-22 |