| NPI | 1083272348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IA 11600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD490244) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: PA MD490244) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD490244) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2026-01-16 |