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 |