| NPI | 1720388325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: PA OS017088) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS017088) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS017088) | |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2019-04-10 |