| NPI | 1265731418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: CO DR.0065484) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO DR.0065484) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2024-08-21 |