| NPI | 1851602841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: VA 0101261445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010013996) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD042162) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101261445) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: VA 0101261445) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2017-03-22 |