| NPI | 1033210430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0034634) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 18812) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101251766) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-04-03 |