| NPI | 1477594034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 222674) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 222674) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 222674) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-04-13 |