| NPI | 1457309031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 21916) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 41848) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD419834) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-09-16 |