| NPI | 1407004948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 32059) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: AZ 32059) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |