| NPI | 1295364008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 5151014375) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: MI 5101027876) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-05-20 |