| NPI | 1619263720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TN 65041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011032702) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2015013443) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 65041) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2024-10-31 |