| NPI | 1477050862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT MED-PHYS-LIC-161238) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 308344-01) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-08-19 |