| NPI | 1356603161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-251562) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-154309) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 283757) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2023-02-20 |