NPI | 1558758128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME152449) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA12210100) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 70933) | |
2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME152449) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101281590) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 102386) | |
Enumeration Date | 2015-04-22 |
Last Update Date | 2025-03-14 |