| NPI | 1114156940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WA MD60405480) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60405480) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 64358) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: WA MD60405480) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35133254) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A131959) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2023-07-18 |