| NPI | 1912105677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA 20A14656) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20a14656) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA 20A14656) | |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2020-01-14 |