| NPI | 1275057598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AZ 67791) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 67791) |
| 207T00000X Neurological Surgery (Licence: AZ 67791) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 67791) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AZ 67791) | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2023-08-10 |