| NPI | 1184043283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2021-01709) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA 155465) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2021-01709) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NC 2021-01709) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-02-14 |