| NPI | 1073933222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U4958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260804) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX U4958) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AZ 59655) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 59655) | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2023-09-07 |