| NPI | 1447415526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: MI 4301110967) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 16014) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301110967) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2016-09-28 |