| NPI | 1427225184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60215322) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01085086A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11074100) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2022-01-05 |