| NPI | 1669995528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IA MD-48454) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IA MD-48454) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IA MD-48454) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 28818) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-48454) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IA MD-48454) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-08-28 |