| NPI | 1194704064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: ME MD11860) |
| Additional Taxonomies | 2084N0600X (Licence: ME MD11860) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2025-04-22 |