| NPI | 1386625507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 33392) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036075201) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL L.3010DP) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2017-02-22 |