| NPI | 1215198056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: DC MD044772) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 51608) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2017-03-14 |