| NPI | 1750327482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 042289) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CT 042289) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CT 042289) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2009-05-30 |