| NPI | 1437127990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 41387) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NE 23294) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2014-06-20 |