| NPI | 1942570064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: PR 18289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 28539) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PR 18289) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PR 18289) | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2020-09-04 |