NPI | 1770686578 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CO DR.0038851) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CO 38851) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CO DR.0038851) | |
Enumeration Date | 2006-09-07 |
Last Update Date | 2018-11-17 |