| NPI | 1013038850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS013094) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA os013094) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34009241) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2023-02-21 |