NPI | 1043552433 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 288932) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125062649) |
Enumeration Date | 2013-03-23 |
Last Update Date | 2022-06-13 |