| NPI | 1740672112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME132476) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NJ 25IA12411200) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2025-02-20 |