| NPI | 1376582353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2012-01664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-01664) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2012-01664) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-06-01 |