| NPI | 1902149792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2019-01176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2019-01176) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2019-01176) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2023-12-20 |