| NPI | 1962602797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX N9545) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX 207T00000X) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N9545) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2017-01-26 |