| NPI | 1639533870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2020-03223) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME165527) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 69441) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2020-03223) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036166934) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101280423) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023046259) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2024-09-09 |