| NPI | 1487001376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: DE C1-0024861) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: DE C1-0024861) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2023-01-31 |