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 |