| NPI | 1164498150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IA 27497) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IA 27497) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-01-30 |