| NPI | 1467980045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2022-00979) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 69243) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 2022-00979) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2024-09-05 |