NPI | 1326351446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A118293) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 20541) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A118293) | |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NV 20541) | |
Enumeration Date | 2010-07-18 |
Last Update Date | 2023-03-07 |