| NPI | 1134384480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NM MD2013-0652) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 44345) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101262120) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2017-03-25 |