| NPI | 1447887906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD493970) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME MD23923) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-07-16 |