| NPI | 1629140561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 327113) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AZ 52108) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 327113) | |
| 174400000X Specialist (Licence: CA A78335) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME86883) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 52108) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2024-01-29 |