| NPI | 1447284500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: ND 11527) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 200200991) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-09-23 |