| NPI | 1942435409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MD D69162) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: DC MD038001) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2015-05-18 |