| NPI | 1588761092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 196443) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: NY 196443) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2019-01-17 |