| NPI | 1194768614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D53022) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MD D0053022) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2026-01-16 |