| NPI | 1326338534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD479493) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 28902) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY TP379) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WV 28902) | |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2024-01-09 |