| NPI | 1578988390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AR E-13370) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-00639) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME119565) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2022-10-13 |