| NPI | 1407276223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: ID M-15716) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: OR MD193117) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: ID M-15716) | |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2024-10-16 |