| NPI | 1164588877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX J8967) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX J8967) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2024-06-20 |