| NPI | 1992048615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CO DR.0062700) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO CDRH.0062700) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-150469) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 77723) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2023-03-02 |