NPI | 1821318379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301096564) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301096564) |
Enumeration Date | 2010-06-08 |
Last Update Date | 2022-02-24 |