| NPI | 1033179858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: GA 75664) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 56447) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 36556) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME81147) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: SC 36556) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2025-06-25 |