| NPI | 1144540600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2016-00997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014010511) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2014010511) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-00997) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2014010511) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2021-05-12 |