| NPI | 1598997348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 68162) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: KS 0438053) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 1196) | |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: LA 334708) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: LA 334708) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 1196) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2024-08-16 |