| NPI | 1881674539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: HI 15526) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: HI 15526) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2016-12-07 |