| NPI | 1124251871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AL 35083) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH applied) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: SD 8232) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2017-10-19 |