| NPI | 1205822368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35070700) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: OH 35.070700) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35.070700) | |
| 2084N0600X (Licence: OH 35.070700) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2025-11-14 |