| NPI | 1144247891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301104054) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A104163) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2006017311) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-06-19 |