| NPI | 1740483437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME 113729) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME 113729) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME113729) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-01-06 |