| NPI | 1043552433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 59834) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CT 076937) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 076937) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125062649) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CT 076937) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 288932) | |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2024-10-29 |