| NPI | 1982866265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: SC 31131) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 31131) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2024-09-27 |