| NPI | 1972517308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AR E-16025) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: LA 339438) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: WI 81844) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-16025) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 17883) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2024-01-11 |