| NPI | 1528383718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 140316) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020042420) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MT 140316) | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2024-04-19 |