| NPI | 1437610664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 328779) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 328779) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 73966) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CT 73966) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-06-03 |