| NPI | 1467453639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35-07-4947-L) |
| Additional Taxonomies | 2084N0600X (Licence: OH 35-07-4974-L) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-12-23 |