NPI | 1780809798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AZ 57723) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-127924) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036-127924) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2019-07-29 |