| NPI | 1134379654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA C172500) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 265862) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C172500) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 265862) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2021-09-17 |