| NPI | 1306006135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OR MD174275) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR md174275) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 46076) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60616142) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C143629) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AK 108539) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-11-25 |