| NPI | 1750432035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AZ 49177) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 57384-20) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WI 57384-20) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2021-02-08 |