NPI | 1053398560 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 210320) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 210320) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2025-06-19 |