| NPI | 1164738910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C201158) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 430 109 7070) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2025-06-13 |