NPI | 1972859767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 61825) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MN 61825) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME156611) | |
Enumeration Date | 2012-07-30 |
Last Update Date | 2024-08-21 |