| NPI | 1598993438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: MI 4301092204) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301092204) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: MI 4301092204) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2022-02-25 |