| NPI | 1679755151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2008-00906) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MT191855) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 2008-00906) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2019-03-15 |