| NPI | 1477742906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C152617) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0054151) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 64627) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME160879) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX P2307) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MD D0054151) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME160879) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2023-07-11 |