| NPI | 1760060834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CO DR.0075171) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 12985115-1205) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-07-01 |