| NPI | 1427468784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2019-00205) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NC 2019-00205) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 36284) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2024-02-13 |