| NPI | 1437387990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C198535) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: RI MD15746) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA C198535) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2024-09-23 |