| NPI | 1942233077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: FL ME69107) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME69107) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-02-10 |