| NPI | 1275520926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NV 541) |
| Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: WA OP00001583) |
| 2083A0100X Preventive Medicine Aerospace Medicine (Licence: AZ 2614) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA 20A 5869) | |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2022-01-24 |