NPI | 1598997348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: LA 334708) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 0438053) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 1196) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 334708) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 1196) | |
Enumeration Date | 2009-08-12 |
Last Update Date | 2023-03-02 |