| NPI | 1245271881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MA 204191) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 204191) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 204191) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-01-27 |