| NPI | 1386955144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MA 244204) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 244204) |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2024-04-01 |