| NPI | 1538377205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 89487) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 27071) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2009-01588) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.205797) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-07-07 |