| NPI | 1689806846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OH 35.149827) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.149827) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301094559) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 277246) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 4301094559) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2024-11-15 |