| NPI | 1467746115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD454980) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP10040656) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD454980) | |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2025-11-10 |