NPI | 1942463765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35136020) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301090828) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301090828) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35136020) | |
Enumeration Date | 2008-07-02 |
Last Update Date | 2021-01-29 |