| NPI | 1811942568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G74045) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA G74045) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA G74045) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2026-04-30 |