| NPI | 1194742734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 22514) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35-084071) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 20837) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-04-18 |