| NPI | 1053553065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35128558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 274045) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 274045) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 274045) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 274045) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2017-11-13 |