| NPI | 1831519172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX S1654) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC DO034738) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S1654) | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2022-07-26 |