| NPI | 1235248246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 9400322) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: AR E-3021) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-3021) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-10-26 |