| NPI | 1285083840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: PA MD477095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267442) |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2022-08-27 |