| NPI | 1518929249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 52123) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 200300649) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: AZ 52123) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2019-11-04 |