| NPI | 1154598183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: CA A126403) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: NC 2020-00009) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A126403) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2022-07-09 |