| NPI | 1275691057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0062599) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 212082-1) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD035293) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101243138) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2012-04-30 |