| NPI | 1477998789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 278828) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: VA 0101275991) |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: MA 278828) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2024-03-07 |