| NPI | 1811144124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: OK 42648) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA08607400) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 290694-1) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NJ 25MA08607400) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NY 290694-1) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2024-09-19 |