| NPI | 1215101514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA 90419) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D72961) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01064571A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 270460) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2016-00182) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 270460) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: SC 86242) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.095431) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2016-00182) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2022-08-02 |