NPI | 1548680838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A167738) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A167738) |
Enumeration Date | 2014-04-24 |
Last Update Date | 2020-07-21 |