| NPI | 1558386623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 214573) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: NY 214573) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-07-05 |