| NPI | 1396881074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U6751) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D66925) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD P18162) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-10-12 |