| NPI | 1750819231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NM MD2023-1157) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 11415629-1205) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2023-08-28 |