| NPI | 1568663177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX R0540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R0540) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-05-07 |