| NPI | 1982869343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MD D69589) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: ID MC-1815) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: DC MD038152) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MS 30262) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2023-10-31 |