| NPI | 1780872937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: NY 268132) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NY 268132) |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: NY 268132) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: NY 268132) | |
| 208M00000X Hospitalist (Licence: NY 268132) | |
| 174V00000X Clinical Ethicist (Licence: NY 268132) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: NY 268132) | |
| 207P00000X Emergency Medicine (Licence: NY 268132) | |
| 207T00000X Neurological Surgery (Licence: NY 268132) | |
| 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging (Licence: NY 268132) | |
| 2084H0002X Psychiatry & Neurology Hospice and Palliative Medicine (Licence: NY 268132) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A101217) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: NY 268132) | |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine (Licence: NY 268132) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2021-07-30 |