| NPI | 1184287427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD215845) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A186282) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024031396) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2024-08-21 |