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 |