| NPI | 1437100849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD444553) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 9899) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NV 9899) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-03-17 |