| NPI | 1336348085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AR E-8910) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-8910) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-01984) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0102202878) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TN 2263) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2024-06-03 |