| NPI | 1598798795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: ID 1361176) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A100082) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-10-09 |