| NPI | 1518283589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OR MD158550) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60658145) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD158550) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2022-11-25 |