| 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 |