| NPI | 1295421428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME161227) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME161227) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME161227) | |
| 208D00000X General Practice (Licence: FL ME161227) | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2025-09-10 |