| NPI | 1265745491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: GA 073365) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 073365) |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: GA 073365) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2017-09-07 |