| NPI | 1487037586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35.137079) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301502896) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.137079) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301502896) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2026-04-02 |