NPI | 1861631590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2017-01736) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192008) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 270463) | |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 2017-01736) | |
Enumeration Date | 2009-02-19 |
Last Update Date | 2021-04-21 |