| NPI | 1366513467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0064845) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WI 61059) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME126679) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036141087) | |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2024-01-10 |