| NPI | 1598980518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA C174401) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35.090637) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2010009953) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2024-02-21 |