| NPI | 1841559077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: LA 310012) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: KS 04-48495) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2020-00354) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 310012) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2024-03-26 |