| NPI | 1679524326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OH 35096323) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NM MD2018-0695) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35096323) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NM MD2018-0695) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2018-0695) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35096323) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-07-24 |