| NPI | 1225358906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 94375) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2025-01347) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: ND 16492) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ND 16492) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2025-10-07 |