NPI | 1598974123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 41828) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: KY 41828) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2024-08-22 |