| NPI | 1700142668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA 075649) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020005557) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 78980) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301119173) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD193678) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 075649) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 19831) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD477541) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T4456) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2024-04-05 |