| NPI | 1639314867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME115799) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME115799) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME115799) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2022-12-12 |