| NPI | 1235187386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR R4135) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR R4135) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-10-25 |