| NPI | 1831483841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL 129409) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 129409) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2015-00512) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 129409) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2023-01-26 |