| NPI | 1639308067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: DE C2-0010856) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C2-0010856) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS016053) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI LP01805) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2020-02-29 |