| NPI | 1457303760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 34361) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A68423) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 41943) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2026-02-12 |