| NPI | 1073738084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2022-01057) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 2022-01057) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: KS 04-35110) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2022-08-01 |