| NPI | 1922031848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: SC 83630) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35059202) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 83630) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-05-25 |