| NPI | 1659357093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 46802) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 47130-020) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WI 47130-020) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2023-07-10 |