| NPI | 1396705810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NV DO2356) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA OP00002297) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA 20A-8098) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TX 40773) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-10-28 |