NPI | 1669462446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35071103) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35071103) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2021-12-22 |