| NPI | 1598945156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI L1191628) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301084274) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S4136s4136) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301084274) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OK 34341) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME152156) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL TM2019-0948) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2025-01-20 |