| NPI | 1184114837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 95936) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL52352) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101274059) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2023-08-28 |