| NPI | 1255687141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: WI 1791) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NJ 25MA11564400) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 1791) | |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2024-10-10 |