| NPI | 1629356225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NJ 25MA11577300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 280441) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2023-08-09 |