| NPI | 1326057928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2006-00136) |
| Additional Taxonomies | 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: SC 36445) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 36445) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-10-25 |