| NPI | 1962889634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OR MD197231) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD197231) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP10053939) | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2022-11-25 |