| NPI | 1760798177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO DR.0069912) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI EMC0002879) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NE CP188) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: WY 15820C) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: ND 14571) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2024-03-12 |