| NPI | 1285296327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MO 2023037650) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023037650) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MA 1015312) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2025-05-06 |