| NPI | 1376500223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 25434) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME80255) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME80255) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OK 25434) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2011-01-24 |