| NPI | 1285963793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA 1015084) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 1015084) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101276175) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 63778) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 57399) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MN 57399) | |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2023-11-27 |