| NPI | 1942525811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 56867) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IN 01091000A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-164338) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 56867) | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2024-12-20 |