| NPI | 1902919301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD227336) |
| Additional Taxonomies | 2085N0700X (Licence: CO 47802) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CO 47802) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 47802) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2025-09-03 |