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 |