| NPI | 1427051648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0053825) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD d0053825) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2019-05-28 |