| NPI | 1811159957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A121422) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2013-02038) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A121422) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2024-04-15 |