| NPI | 1922363712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: MD D81200) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: WI 2876) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AR E-11210) | |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: IN 01091299A) | |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: AR E-11210) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2023-10-16 |