NPI | 1366829210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: MI 4301511235) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: RI MD18022) |
2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME129158) | |
2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: RI MD18022) | |
Enumeration Date | 2015-04-29 |
Last Update Date | 2024-05-23 |