| NPI | 1871751305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: OH 34.010607) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: SD 11823) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036132083) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2014040944) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2024-02-02 |