| NPI | 1629270848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: GA 74463) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AR E-7152) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME108276) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AL 37488) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-02-21 |