| NPI | 1235231770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: CA A45790) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: CA A45790) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A45790) | |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2023-10-17 |