| NPI | 1053670414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: VA 0101271538) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 26469) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101271538) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ THMD00036) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WV 26469) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2023-08-03 |