| NPI | 1184771909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AL 28347) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 28347) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-11-17 |