| NPI | 1922328798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: MD D0081794) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 274528) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2022-10-24 |