| NPI | 1265745582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA 94882) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2023-02708) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX Q8664) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q8664) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX Q8664) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2024-03-01 |