| NPI | 1033367578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0010335) |
| Additional Taxonomies | 2084N0600X (Licence: DE C1-0010335) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2015-12-02 |