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 |