| NPI | 1396799508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C53312) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 22009) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 35694) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AZ 35694) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-09-21 |