| NPI | 1558853705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WV 32815) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD481916) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0098317) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.148976) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-12-26 |