| NPI | 1245399609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: RI 12724) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: MA 230609) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: RI 12724) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-04-03 |