| NPI | 1003019498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: DE C1-0009988) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0009988) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD437818) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-12-31 |