| NPI | 1588824353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AZ 44429) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 44429) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 247058) | |
| 207T00000X Neurological Surgery (Licence: AZ 44429) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 44429) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 247058) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AZ 44429) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 247058) | |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2021-03-12 |