| NPI | 1306162474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME157529) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CT 052921) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 052921) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.155309) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036.132374) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35.155309) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2026-03-03 |