| NPI | 1467972836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD489942) |
| Additional Taxonomies | 2084N0600X (Licence: PA MD489942) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2025-09-03 |