| NPI | 1144545773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2016-0727) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NM MD2016-0727) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2014004998) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MO 2014004998) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2024-03-28 |