| NPI | 1831479633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD467079) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 26881) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD467079) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2020-10-01 |