| NPI | 1528225984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: LA 300497) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60331923) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60331923) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 300497) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-01-28 |