| NPI | 1457708398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI LP03682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03682) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0066665) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-47379) | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2023-03-15 |