| NPI | 1730184987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C32189) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA C32189) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA C32189) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA C32189) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2011-06-22 |