| NPI | 1619316650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: NC 2020-03716) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2020-03716) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AR E-17601) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 280967) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 62436) | |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: MA 280967) | |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: MN 62436) | |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: AR E-17601) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2024-02-15 |