| NPI | 1376724005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A105362) |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2019-04-12 |