| NPI | 1750574547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OR MD155119) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD155119) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 34909) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AK 105878) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60286035) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A119321) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2022-11-25 |