| NPI | 1073801882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 73474) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-42391) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IA MD-42391) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2021-12-29 |