NPI | 1528185246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35143569) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35143569) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301085895) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2021-11-18 |