| NPI | 1699788042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX P4136) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-112951) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P4136) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P4136) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2017-01-26 |