| NPI | 1841551355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 76902) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A143097) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A143097) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 82488) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: WI 82488) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2026-06-17 |