| NPI | 1043427834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MS 20178) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: AL 26872) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-02-23 |