| NPI | 1881958221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: SC 52500) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 52500) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-01301) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-10-17 |