| NPI | 1538509799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IA MD-44309) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC LL36091) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: IA MD-44309) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2018-07-10 |