NPI | 1912105677 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA 20A14656) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20a14656) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA 20A14656) | |
Enumeration Date | 2007-07-04 |
Last Update Date | 2020-01-14 |