| NPI | 1437295938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV MD15369) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00026727) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME72061) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD156525) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-11-08 |