| NPI | 1225449069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2023-01177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021014508) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-01177) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2021014508) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2023-05-31 |