| NPI | 1265797401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AZ 50168) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME114563) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 50168) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2021-02-08 |