| 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 |