| NPI | 1144576257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A130542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 469064) |
| 207R00000X Internal Medicine (Licence: PA MT202876) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A130542) | |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2017-03-31 |