| NPI | 1528297009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A147166) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: WI 60928 - 20) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2020-02-05 |