| NPI | 1528247962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME138569) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MI 4301102179) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301102179) | |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2023-04-19 |