| NPI | 1033379383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D79589) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 274204) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 274204) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-02-12 |