NPI | 1861752529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX Q7470) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q7470) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: SC 40680) | |
Enumeration Date | 2012-05-29 |
Last Update Date | 2024-03-31 |