| NPI | 1326160177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60333790) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0065029) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD036298) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WA MD60333790) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-07-01 |