| NPI | 1043416357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2018-00622) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 201800622) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 25690) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 201800622) | |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2021-06-01 |