| 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 |