| NPI | 1457811473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AL 51649) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 54619) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-10-01 |