| NPI | 1528684123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023017590) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MO 2023017590) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MO 2023017590) | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2026-04-08 |