| NPI | 1013170067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME107144) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 22263) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-8511) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 47044) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-03-30 |