| NPI | 1346291374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A44002) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A44002) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2022-08-01 |