| NPI | 1861812182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: MD D0088236) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 2909721) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2019-12-09 |