| NPI | 1336178235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 4446) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 4446) |
| 207Q00000X Family Medicine (Licence: AZ 4446) | |
| 207R00000X Internal Medicine (Licence: AZ 4446) | |
| 207X00000X Orthopaedic Surgery (Licence: AZ 4446) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 864020) | |
| 208D00000X General Practice (Licence: AZ 4446) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-05-22 |