| NPI | 1497940886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MD D74292) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 80782) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 256665-1) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 256665-1) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2012-06-20 |