| NPI | 1225317589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: AZ 68594) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: CT 62254) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CT 62254) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 68594) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2024-01-06 |