| 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 |