| NPI | 1336597202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME159445) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 31171) |
| 207R00000X Internal Medicine (Licence: WV 31171) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2023-07-07 |