| NPI | 1427411537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 36698) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY C1494) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2024-03-14 |