NPI | 1073776548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 299122) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 299122) |
2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 299122) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS018622) | |
Enumeration Date | 2008-07-05 |
Last Update Date | 2023-11-27 |