| NPI | 1265435473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD458990) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0022132) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2016-10-18 |