| NPI | 1649434317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: GA 080733) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: VA 0101257652) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD446830) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101257652) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2021-04-08 |