| NPI | 1396989562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD475455) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD475455) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IA 41133) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 41133) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD039587) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0072293) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: FL ME128158) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2021-09-08 |