| NPI | 1922186659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: TN 67975) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A56469) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: CT 045318) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-06-19 |