| NPI | 1518981281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD462889) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 35610) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-10848) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-10-31 |