| NPI | 1295774347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: LA MD.021072) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 18964) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.021072) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-05-15 |