| NPI | 1467434241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME MD25617) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 23773) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD07007) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME EL211147) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2024-02-08 |