| NPI | 1336462886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: ND 11419) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: ND 11419) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2021-12-01 |