| NPI | 1356654735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME160662) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036-141856) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-141856) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2023-02-13 |