| NPI | 1952745705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2017-00699) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A166746) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A166746) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2026-07-02 |