| NPI | 1447425525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD449187) |
| Additional Taxonomies | 2084H0002X (Licence: PA MD449187) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2015-08-10 |