| NPI | 1396785127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2019032185) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01084618A) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036112528) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NV 20287) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-03-27 |