| NPI | 1285618116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35-07-6615-N) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 156198-1) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2016-10-27 |