| NPI | 1295792661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0039680) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE c1-0003448) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2022-03-08 |