| NPI | 1114938404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX V5680) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 241282) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301102124) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX V5680) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA08715100) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX V5680) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2025-10-08 |