| NPI | 1134216187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 005468) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: HI DOS-963) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2014-03-31 |