| NPI | 1588004287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A164527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6999) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 82287) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A164527) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2020-10-29 |