NPI | 1295198000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA 153113) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 153113) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2022-11-03 |