NPI | 1427049030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 268741) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 26874101) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 268741) | |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 268741) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 26874101) | |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 268741) | |
Enumeration Date | 2005-11-02 |
Last Update Date | 2024-01-18 |