| NPI | 1922381250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 287407) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: VA 0101268592) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: WI 72756-20) | |
| 207R00000X Internal Medicine (Licence: PA MT200484) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NJ 25MA10747300) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: KY 53636) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IN 01083376A) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2020-00091) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME143500) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AZ 60058) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA 85082) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IN 01083376A) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2021-03-25 |