| NPI | 1285683466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N8877) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 32545) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: AZ 32545) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 32545) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AZ 32545) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-11-05 |