| NPI | 1295354751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: DE C1-0027409) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: DE C1-0027409) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MD D0103207) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: MD D0103207) | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-08-15 |