| NPI | 1861854325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2023-00906) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 292328) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-00906) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-08-25 |