| NPI | 1053518191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD448244) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.095452) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT189044) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WV 24417) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NH 20146) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: ME MD23401) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2024-01-11 |