| NPI | 1447467246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO DR.0060200) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: AL MD.27870) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AL 27870) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-07-26 |