| NPI | 1326251083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101255572) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MD D71767) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D71767) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2018-09-27 |