| NPI | 1255337572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: OR MD153237) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: AK 106642) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA C138232) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD60216892) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: OR MD153237) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MT 34901) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2022-11-25 |