| NPI | 1386630465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M-6224) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M6224) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2014-04-23 |