| NPI | 1134282783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX Q5767) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 73361-20) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 050790) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301501689) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C168933) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036152441) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 99101653A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10828200) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01085230A) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-03-11 |