| NPI | 1821226622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: DC MD 042329) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D77942) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: VA 0101256398) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 260727) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-06-23 |