| NPI | 1639511041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX U2145) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U2145) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY IP1401) | |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2023-03-08 |