| NPI | 1487610101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX P8118) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D46058) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D46058) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2024-04-03 |