| NPI | 1447600655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: LA 333012) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125069469) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 168965) | |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2022-10-14 |