| NPI | 1285722314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 75751) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI DO00541) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: RI DO00541) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-05-31 |