| NPI | 1518933498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD459621) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN MD23704) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 219413) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-08-07 |