| NPI | 1669995528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IA MD-48454) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 28818) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WI 13474) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-48454) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IA MD-48454) | |
| 2084N0600X (Licence: IA MD-48454) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IA MD-48454) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2025-00068) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2025-09-17 |