| NPI | 1407925886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX P1946) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MD D0054355) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: DC MD32912) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-11-11 |