| NPI | 1598011215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: DE C1-0012620) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: DE C1-0012620) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2024-10-03 |