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 |