| NPI | 1437376571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: UT 102700094-1205) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: PA MD431618) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2021-11-12 |