| NPI | 1518385293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: OR MD187660) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: OR MD187660) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-06-29 |