| NPI | 1295913614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A104278) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2024-09-10 |