| NPI | 1225326952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME149192) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CT 055711) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 055711) | |
| 2085N0700X Radiology, Neuroradiology (Licence: FL ME149192) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2023-08-21 |