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 |