| NPI | 1487898540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: RI MD18971) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: VA 0101263324) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2023-09-18 |