| NPI | 1144489550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: SD 14259) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX p3532) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: SC 83282) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 260100) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD481374) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2023-11-09 |