| NPI | 1417243551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: FL ME139092) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 125060488) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: CO DR.0057046) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2023-12-06 |