| NPI | 1699120626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 332444) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MT 76472) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 332444) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2025-09-16 |