| NPI | 1699938597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 248344-1) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 248344-1) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 248344-1) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2025-01-14 |