| NPI | 1902805518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MN 64851) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200300395) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 200300395) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 200300395) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-04-23 |