| NPI | 1437599883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL MD.37012) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME02665.) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2023-03-23 |