| NPI | 1396023818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 67479-20) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: NH 19823) |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: WI 67479-20) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MT 88687) | |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: LA 334021) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301113680) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 67885) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: LA 334021) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2024-02-15 |