| NPI | 1437562980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: GA 90921) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 86337) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL TPME5866) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2023-10-28 |