| NPI | 1275626939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 33029) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 33029) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-10-06 |