| NPI | 1427431469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX S6697) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 007921) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S6697) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: SC 82255) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-12-15 |