| NPI | 1730594011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME163894) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 79245) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD488477) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 57314) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME163894) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25IA12596800) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NJ 25IA12596800) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD20295) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 34017) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2026-06-04 |