| NPI | 1396106837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 6333) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OK NCC7241) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2024-03-29 |