| NPI | 1043294663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: VA 0101249463) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD424173) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-11-20 |