NPI | 1124460803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME146704) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME146704) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 288187) | |
Enumeration Date | 2013-07-23 |
Last Update Date | 2023-03-09 |