| NPI | 1861812885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 65846) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 37751) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AL 37751) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AZ 65846) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2022-09-06 |