| NPI | 1427368885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 46536) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 46536) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 46536) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2024-04-23 |