NPI | 1669881116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 290121) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 290121) |
282N00000X General Acute Care Hospital | |
Enumeration Date | 2014-08-08 |
Last Update Date | 2021-02-20 |