| NPI | 1467733220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: ID O-1158) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID O-1158) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 9360238-1204) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R1938) | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2021-08-12 |