| NPI | 1063657328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OR MD159845) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 39857) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AK 108649) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60478521) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A140879) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD159845) | |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2022-11-25 |