| NPI | 1649340530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036133825) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.098756) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MD D63053) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: DC MD035372) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-06-21 |