NPI | 1730507930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WI 20561) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036171267) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD467191) | |
Enumeration Date | 2014-04-03 |
Last Update Date | 2024-11-15 |