| NPI | 1528391547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX R8525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194412) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2022-08-10 |