NPI | 1891144853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A17221) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A17221) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2023-09-26 |