| NPI | 1386842284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA 66120) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 57.011094) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 66120) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 131399) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME165739) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-02-27 |