| NPI | 1346443843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CO CDR.0005315) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO CDR.0005315) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M6938) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX M6938) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2026-08-17 |