| NPI | 1104093665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OR MD156852) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60264462) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AK 109124) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 35025) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A139626) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD156852) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2022-11-25 |