| NPI | 1427094515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: LA L#06473R) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: LA 06473R) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2012-11-07 |