| NPI | 1114066156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: NV 18592) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 2006-0326) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A112925) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A112925) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NV 18592) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-05-24 |