| NPI | 1063787240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD445972) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MI 4301106416) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301106416) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301106416) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2024-02-28 |