| NPI | 1235417551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: AZ 53271) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 53271) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 53271) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301098616) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: AZ 53271) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2021-03-11 |