NPI | 1841589926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A147222) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD457250) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD457250) | |
Enumeration Date | 2011-03-29 |
Last Update Date | 2024-09-04 |