NPI | 1770959439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: WI 22111) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 31788) |
207R00000X Internal Medicine (Licence: ND RL13645) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-160604) | |
2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IN 01087439A) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME144750) | |
Enumeration Date | 2015-08-18 |
Last Update Date | 2025-06-18 |