| NPI | 1295750008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX P8459) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 100211) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX 44211) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-05-03 |