| NPI | 1689830564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: FL ME156779) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME156779) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 265591-1) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101247836) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: FL ME156779) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2022-07-05 |