| NPI | 1740518695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA 92874) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MO 2017008829) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: SC 82321) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2017008829) | |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2022-08-18 |