| NPI | 1316931256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 42061) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: AZ 42061) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AL 9981) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: LA 08710R) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: OK 38948) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2023-12-19 |