| NPI | 1467452797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 258631) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 29409) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA07505600) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301073105) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 258631) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 65156) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2021-11-16 |