| NPI | 1982882262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S5442) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S5442) |
| 207R00000X Internal Medicine (Licence: MN 20361) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 57844) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX S5442) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S5442) | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2025-01-14 |