| NPI | 1871788216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: LA MD.200888) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD200888) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MS 23578) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2016-07-19 |