NPI | 1780061663 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 27528) |
Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MS 27528) |
Enumeration Date | 2015-04-30 |
Last Update Date | 2025-03-11 |