NPI | 1942616560 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME15936) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 281354) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: KY 57603) | |
208M00000X Hospitalist (Licence: FL ME159536) | |
Enumeration Date | 2014-07-02 |
Last Update Date | 2025-06-13 |